Siddiqui, Mohammad A
Siddiqui, Mohammad A is an sole proprietor health care provider with primary practice located at 9669 N Kenton Ste 305, Skokie IL 60076. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Siddiqui, Mohammad A can be contacted via phone (847) 679-6333.Contact Information
Primary practice address
9669 N Kenton Ste 305
Skokie IL 60076
Phone: (847) 679-6333
Fax: (847) 679-6343
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036093190 | Illinois |
Profile Details
| NPI number | 1487630513 |
|---|---|
| LBN Legal business name | Siddiqui, Mohammad A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 20th, 2005 |
| Last updated | Feb 13th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487630513 | NPPES |
| Illinois | Other | 01608395 | BCBS |
| Illinois | MEDICAID | 036093190 | BCBS |
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